Healthcare Provider Details

I. General information

NPI: 1184549107
Provider Name (Legal Business Name): INVERNESS FAMILY AND COSMETIC DENTISTRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 INVERNESS CENTER DR STE 202
HOOVER AL
35242-7635
US

IV. Provider business mailing address

202 INVERNESS CENTER DR STE 202
HOOVER AL
35242-7635
US

V. Phone/Fax

Practice location:
  • Phone: 205-991-8939
  • Fax:
Mailing address:
  • Phone: 205-991-8939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CHAD HENDRICKS
Title or Position: CREDENTIALING
Credential:
Phone: 612-859-0444